Objective:To analyze correlativity of tongue picture with state and duration of illness

and to deepen the understanding of the syndrome of both qi and yin deficiency in the patient of AIDS at metaphase and advanced stage.Methods:Picture of the tongue in the patient of AIDS at metaphase and advanced stage was taken by a same digital camera at a fixed time in the morning.The laboratory data of the patient were recorded and characteristics of the tongue picture and the relationship between the tongue picture and the condition of immune system were analyzed.Results:Dim tongue with ecchymosis

enlarged tongue with teeth print

curdy and greasy fur

and brown fur were commonly seen in the advanced patients;Dim tongue with ecchymosis was related to the state of illness

immune state and CD

4

level.Conclusion:Both qi and yin deficiency

obstruction of blood stasis in collaterals

retention of toxic pathogen in the blood system are more commonly seen TCM pathological changes in the advanced patient of AIDS.